دورية أكاديمية
أعرض في EDS

Impact of physiotherapy access on health-related quality of life following hip fracture: an observational study on 30 752 hip fractures from the Norwegian Hip Fracture Register 2014-2018.

التفاصيل البيبلوغرافية
العنوان: Impact of physiotherapy access on health-related quality of life following hip fracture: an observational study on 30 752 hip fractures from the Norwegian Hip Fracture Register 2014-2018.
المؤلفون: Kjærvik C; Nordlands Hospital, Bodo, Norway ckj006@uit.no.; Department of Clinical Medicine, UiT The Arctic University of Norway, Tromso, Norway., Gjertsen JE; Department of Orthopaedic Surgery, Haukeland University Hospital, Bergen, Norway.; Department of Clinical Medicine, University of Bergen, Bergen, Norway., Stensland E; Centre of Clinical Documentation and Evaluation, Northern Norway Regional Health Authority, Bodo, Norway.; Department of Community Medicine, UiT The Arctic University of Norway, Tromso, Norway., Uleberg B; Centre of Clinical Documentation and Evaluation, Northern Norway Regional Health Authority, Bodo, Norway.; Department of Community Medicine, UiT The Arctic University of Norway, Tromso, Norway., Taraldsen K; Oslo Metropolitan University, Oslo, Norway., Søreide O; Centre of Clinical Documentation and Evaluation, Northern Norway Regional Health Authority, Bodo, Norway.
المصدر: BMJ open [BMJ Open] 2024 Jun 06; Vol. 14 (6), pp. e086428. Date of Electronic Publication: 2024 Jun 06.
نوع المنشور: Journal Article; Observational Study
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Hip Fractures*/rehabilitation , Quality of Life* , Physical Therapy Modalities* , Registries*, Humans ; Female ; Male ; Norway/epidemiology ; Aged, 80 and over ; Aged ; Health Services Accessibility/statistics & numerical data
مستخلص: Objectives: The main objective of this study was to investigate the characteristics of patients receiving private community physiotherapy (PT) the first year after a hip fracture. Second, to determine whether utilisation of PT could improve health-related quality of life (HRQoL).
Methods: In an observational cohort study, 30 752 hip fractures from the Norwegian Hip Fracture Register were linked with data from Statistics Norway and the Norwegian Control and Payment of Health Reimbursements Database. Association between covariates and utilisation of PT in the first year after fracture, the association between covariates and EQ-5D index score and the probability of experiencing 'no problems' in the five dimensions of the EQ-5D were assessed with multiple logistic regression models.
Results: Median age was 81 years, and 68.4% were females. Most patients with hip fracture (57.7%) were classified as American Society of Anesthesiologists classes 3-5, lived alone (52.4%), and had a low or medium level of education (85.7%). In the first year after injury, 10 838 of 30 752 patients with hip fracture (35.2%) received PT. Lower socioeconomic status (measured by income and level of education), male sex, increasing comorbidity, presence of cognitive impairment and increasing age led to a lower probability of receiving postoperative PT. Among those who used PT, EQ-5D index score was 0.061 points (p<0.001) higher than those who did not. Correspondingly, the probability of having 'no problems' in three of the five dimensions of EQ-5D was greater.
Conclusions: A minority of the patients with hip fracture had access to private PT the first year after injury. This may indicate a shortcoming in the provision of beneficial post-surgery rehabilitative care reducing post-treatment HRQoL. The findings underscore the need for healthcare policies that address disparities in PT access, particularly for elderly patients, those with comorbidities and reduced health, and those with lower socioeconomic status.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: GERIATRIC MEDICINE; Hip; REHABILITATION MEDICINE
تواريخ الأحداث: Date Created: 20240606 Date Completed: 20240606 Latest Revision: 20240612
رمز التحديث: 20240612
مُعرف محوري في PubMed: PMC11163825
DOI: 10.1136/bmjopen-2024-086428
PMID: 38844395
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2024-086428